http://www.fpnotebook.com/

Chemical Restraints

Aka: Chemical Restraints

Indications
1. Dangerous and uncontrolled Violent Behavior
See Also
1. Physical Restraints
Dosing: Adults (lower doses in the elderly)
1. Haloperidol (Haldol): Preferred chemical restraint
  1. Haldol alone: 5-10 mg PO/IM/IV prn
  2. Haldol with Ativan q30 minutes prn (Mnemonic: B52)
    1. Haldol 5 mg
    2. Ativan 2 mg
  3. Haldol with Cogentin 1 mg
2. Droperidol (Inapsine)
  1. Inapsine (use with Cogentin 1 mg)
    1. Intravenous dose: 1.25 to 2.5 mg IV prn
    2. Intramuscular dose: 2.5 to 10 mg IM prn
  2. Adverse effects
    1. Very sedating
    2. May cause Orthostatic Hypotension
3. Lorazepam (Ativan) 1-2 IM/IV q6h prn
4. Midazolam (Versed) 5 mg IM prn
5. Fluphenazine (Prolixin) 5 mg IM q6h prn
6. Chlorpromazine (Thorazine) 50 mg IM q6h prn
7. Thiothixene (Navane) 5 mg PO or 10 mg IM prn
Dosing: Pediatric Dosing
1. Haloperidol (Haldol) 0.5 to 1 mg PO/IM/IV prn
2. Chlorpromazine (Thorazine) 0.25 mg/kg IM prn
Dosing: Adolescent Dosing
1. Haloperidol (Haldol) 1-5 mg PO/IM/IV prn
2. Chlorpromazine (Thorazine) 25 mg IM or 50-100 mg PO prn
3. Fluphenazine (Prolixin) 1-5 mg PO or 2-5 mg IM prn
4. Lorazepam (Ativan) 1-2 mg PO/IM q6h

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 10/21/2007 and last published on 5/17/2012.

This is one of 5740 pages in the Family Practice Notebook